Permit Support Document (26) CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2017-00110
T1 G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/21/2017
Parcel: 1 S 136DD05300
Jurisdiction: Tigard
Site address: 11850 SW 67TH AVE, STE#
Project: 79717 Subdivision: WEST PORTLAND HEIGHTS Lot: 9
Project Description: exterior light retro-change to LED 2/21/17,REPRINTED to correct permit to"shell"address.
Contractor: IES COMMERCIAL INC Owner: PNWP LLC#2
16135 SW 74TH AVE PNWP LLC
TIGARD, OR 97224 6600 SW 105TH AVE#175
BEAVERTON, OR 97008
PHONE: 503-648-1900 PHONE:
FAX: 503-670-9572
FEES
Quantity Description Date Amount
3 crt Branch Circuits wo/Purchase 02/21/2017 $71.02
Specifics: Service or Feeder
1 ea 12%State Surcharge- 02/21/2017 $8.52
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $79.54
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in acco•--= approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTE• ION: Oregon -, requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-01 0 throu.h OAR 952-00 -00• ou -y obtain a copy of the rules or direct questions to OUNC by calling 503.�- .1987 or 17800.332.2344.
Issu d By: .-4 / . . /J. _/ _ Permittee S gnature: 17 '
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11850 SW 67TH AVE STE, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Electrical ELC2017-00110
Inspection Type: Inspector:
199 Electrical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor